Shannon Lyn Manley, FNP-BC | |
3900 Piedmont Ave, Oakland, CA 94611-5352 | |
(415) 432-7899 | |
(510) 899-7101 |
Full Name | Shannon Lyn Manley |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 3900 Piedmont Ave, Oakland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780149153 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 95010607 (California) | Primary |
Entity Name | Dignity Health Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
Entity Name | North Sonoma County Health Care District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194824573 PECOS PAC ID: 4789594367 Enrollment ID: O20060406000251 |
Entity Name | Norcal Healthconnect Llc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1861009672 PECOS PAC ID: 2466864038 Enrollment ID: O20201225000001 |
Entity Name | Norcal Healthconnect Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720695547 PECOS PAC ID: 2466864038 Enrollment ID: O20210308001127 |
Mailing Address | Practice Location Address |
---|---|
Shannon Lyn Manley, FNP-BC 3400 Data Dr, Attn: Credentialing/payer Enrollment, Rancho Cordova, CA 95670-7956 Ph: () - | Shannon Lyn Manley, FNP-BC 3900 Piedmont Ave, Oakland, CA 94611-5352 Ph: (415) 432-7899 |
Emily Duane Lloyd, NPF Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1030 International Blvd, Oakland, CA 94606 Phone: 510-238-5400 Fax: 510-238-5437 | |
Erica Tringale, N.P, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3373 | |
Shelley Anne Bull, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3885 | |
Mrs. Michelle Annette Harris-miller, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3025 High St, Oakland, CA 94619 Phone: 510-261-5200 | |
Annie Roque, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-4418 | |
Mr. Keith M. Thibault, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 | |
Colleen Mccullough, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2950 International Blvd, Oakland, CA 94601 Phone: 510-535-4400 |